1. Rules

    Yes

    I confirm that I have read and understood the Rules relating to my application which can be located on the CLSB website. I understand that information and evidence in relation to my application must be provided in the English or Welsh language. Where original documents are not in English or Welsh, I confirm that I have provided an official translation.

    2. Declaration

    Yes

    I declare that the information provided with this application is true and complete in all material respects and I understand that any non-disclosure or provision of incorrect information may be treated by the CLSB as an act of dishonesty.

    3. Intended practising arrangements

    Yes

    (a) I am intending to provide the services of a Costs Lawyer in England or Wales as an employee of my current employer.

    Nature of current employer's business

    Name, address and phone number of employer

    Yes

    (b) I am intending to provide the services of a Costs Lawyer in England and Wales in a self-employed capacity or through a new employer.

    Nature of new employer's business (if known)

    Name, address and phone number of new employer's business (if known)

    4. Applicant details

    Full name

    Date of birth

    Gender identity

    Place of birth

    Residential address

    Passport number/identity card number

    Email address

    Telephone number

    Postal address (if different from above)

    Mobile number (if different from above)

    5. Proof of identity and address

    I ATTACH proof of my identity

    I ATTACH proof of my address

    Note: The document you use to prove your identity should be an official document that contains your name along with a passport-sized colour photograph of you on the same page. Examples include a passport, national identity card or driving licence. The document you use to prove your address should include your name and current residential address on the same page. Examples include a utility bill, lease agreement or official government communication. You can use the same document to prove both your identity and address.

    6. Profession

    I pursue the following profession in my country of residence or other jurisdiction(s) in which I practise:

    Profession (title and description)

    Date practising from

    7. Regulation

    Yes

    (a) My profession set out under section 6 above is regulated in the jurisdiction(s) where I practise..

    Yes

    (b) My profession as set out under section 6 above is not regulated in the jurisdiction(s) where I practise.

    (Please provide more information about your regulatory status)

    8. Practising jurisdictions

    Yes

    I ATTACH evidence from an official body in each of the countries where I currently practise, certifying that I am entitled to practise my profession in that jurisdiction and that I am not prohibited from practising, even temporarily.

    9. Professional qualifications

    Yes

    I ATTACH evidence – such as copies of diplomas, certificates or transcripts – of my professional qualifications as set out below. Where the scope, content and/or level of my professional qualifications is not clear from that evidence, I also ATTACH a separate sheet providing further information about the nature of my professional qualifications. I authorise the CLSB to contact the awarding body on my behalf in order to establish the scope, content and level of my professional qualifications where necessary.

    • Qualification

    • Awarding body (name and address)

    • Date achieved

    • Duration of education and training

    10. Practising certificates

    Yes

    I ATTACH copies of my current practising certificates as set out below.

    • Registration/licence number

    • Profession/title

    • Issuing body

    • Date of issue

    Note: Where the jurisdiction(s) in which you practise does not require a practising certificate, please ATTACH a separate sheet detailing the costs work undertaken by you over the last 10 years, including the name and contact details of all relevant employers. In these circumstances, you authorise the CLSB to contact those employers on your behalf for the purpose of establishing whether you have the knowledge, skills and competencies required to be a Costs Lawyer in England and Wales.

    11. Professional body membership

    I am a member of the following professional bodies:

    • Professional body (Please include address)

    • Date of full membership

    • Membership number

    12. Regulated activities

    I am authorised and regulated to undertake the following activities under my practising certificate(s) in the jurisdiction(s) where I practise:

    • Authorised/regulated activity

    • Regulator

    I am authorised under my current practising certificate(s) to undertake the following authorised/regulated activities, which are the reserved legal activities that may be carried out by Costs Lawyers in England and Wales:

    The exercise of a right of audience (i.e. the right to appear in court)

    The administration of oaths

    The conduct of litigation

    13. Disclosure: Offences

    Yes

    (a) I have never been subject to any conviction, caution, reprimand, warning, fine including spent convictions. (other than for a minor motoring offence)

    Yes

    (b) I have been subject to a conviction, caution, reprimand, warning, fine including spent convictions. (other than for a minor motoring offence)

    (In the event of (b) please provide more information)

    14. Disclosure: Others

    Yes

    (a) I have never:

    • been subject to an adjudication of bankruptcy;

    • been granted a debt relief order (or equivalent);

    • entered into an individual voluntary arrangement or a partnership voluntary arrangement (or equivalent);

    • been a director of any company or partner in a partnership that has been the subject of a winding up order, an administrative order or an administrative receivership, or has otherwise been wound up or put into administration in circumstances of insolvency;

    • been disqualified from being a company director or the trustee of a charity; or

    • been the subject of an adverse order or finding of a civil court or employment tribunal.

    Yes

    (b) I have, whether currently or in the past, been the subject of one or more of the events listed in (a) above.

    (In the event of (b) please provide more information)

    15. Professional misconduct

    Yes

    (a) I have never been:

    • Struck off a professional register (or equivalent).

    • Subject to conditions on my right to practise.

    • Suspended from practising professionally.

    Yes

    (b) I have been:

    • Struck off a professional register (or equivalent).

    • Subject to conditions on my right to practise.

    • Suspended from practising professionally.

    (In the event of (b) please provide more information)

    16. Disciplinary issues

    Yes

    (a) I have never been subject to any disciplinary proceedings by a regulator or professional body.

    Yes

    (b) I have been subject to any disciplinary proceedings by a regulator or professional body.

    (In the event of (b) please provide more information below)

    17. Disclosure and Barring Service (DBS) checks

    I ATTACH the result of my enhanced level DBS check from the relevant UK government authority and the result of an equivalent check from the relevant government authority in my country of residence, each having been issued within the last three months.

    (In the event a check contains evidence of misconduct, please explain below)

    18. Language

    Yes(a) English or Welsh is my first language.

    Yes(b) My first language is neither English nor Welsh.

    In the event of (b) I declare that my fluency in English or Welsh is sufficient to practise as a Costs Lawyer to the standard expected by the CLSB, and I agree to an interview with a representative of the CLSB in order to establish this to their satisfaction, if requested.

    19. Other evidence

    I ATTACH evidence of any other matter that I would like the CLSB to take into account in considering my application.


    Note: It is not compulsory to provide additional evidence, but if there is anything else you would like to tell us, please do so here. You might, for example, wish to upload evidence associated with your professional qualifications, such as documents formally recognising your training and experience or explaining the nature of any traineeships you have undertaken. It is your responsibility to demonstrate that you meet the criteria for recognition as set out in the Rules.

    20. References

    I understand the CLSB reserves the right to take up references when considering my application.

    Personal/character referee (name, address, email address and phone number)

    How do you know this referee?

    Professional referee (name, address, email address and phone number)

    How do you know this referee?

    Enclosure Checklist

    YesProof of identity

    YesProof of address

    YesEvidence of entitlement to practise

    YesEvidence of your professional qualifications (and, where relevant, a separate sheet providing further information about the nature of your professional qualifications)

    YesCurrent practising certificates (or, where relevant, a separate sheet detailing costs work you have undertaken)

    YesDBS checks from the UK and from your country of residence

    YesAny other relevant evidence

    CLSB Checks

    Please note the CLSB may seek further information from you in relation to this application. The CLSB may also contact governmental, professional, regulatory and training bodies to verify or clarify information you have provided in this form. Your assistance with our enquiries will minimise any delay in processing your application.

    Queries

    The CLSB can be contacted by:

    Email : [email protected]

    Phone : 0161 956 8969

    Post : CLSB, Centurion House, 129 Deansgate, Manchester, M3 3WR